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Highbar Physical Therapy

Posted 1 month ago

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Insurance Authorization Specialist

Providence, RI - AdministrativeRemote

AI Summary

The Authorization and Insurance Verification Specialist verifies insurance benefits, obtains authorizations, resolves complex benefit issues, and ensures clean claim processing while scheduling visits and supporting patient care coordinators.

About this role

Highbar Physical Therapy is Hiring!

Help us revolutionize the Physical Therapy industry! Highbar is a leading outpatient physical therapy practice experiencing significant growth with locations across New England. We’ve evolved our name to reflect the standard of care we’ve always provided and demonstrate how we are different.

We bring together the science of musculoskeletal health with the art of individualized care, consistently delivering life-changing outcomes for our patients.

Join us as an Authorization and Insurance Verification Specialist!
The Authorization / Insurance Verification Specialist is responsible for verifying insurances and performing necessary authorizations based on insurance guidelines. The role also includes quality monitoring to ensure clean claim processing.

What You'll Do:

  • Identify and solve complex insurance benefit issues.
  • Obtain detailed patient information to accurately submit to the proper insurance carriers.
  • Contact health care providers to obtain referrals or additional information as necessary.
  • Follow up with insurance companies to ensure receipt of patient benefit authorizations.
  • Must maintain strong attention to detail to transpose data and information accurately.
  • Schedule patient visits when necessary.
  • Guide and assist Patient Care Coordinators through difficult accounts.
  • Provide information and assist patients when help is needed by researching benefit coverage.
  • Assist other departments as needed, including Billing and Front Office.
  • Other duties may be assigned.

    • Qualifications:

  • Qualified candidates must have a high school diploma or GED as well as a basic understanding of health insurance benefits.
  • Preference will be given to candidates with medical insurance and authorization knowledge.

    • Compensation Package:

  • Starting at $20/hour, with compensation adjusted based on experience, skills, and role alignment
  • We also offer a comprehensive benefits package including Medical, Dental & Vision; 401(k); voluntary disability and life insurance options; Fitness & Wellness program; paid holidays and paid time off; flexible work hours; community volunteer opportunities, and more.

    • Skills

    Claim ProcessingCMS GuidelinesEMRHIPAAInsurance VerificationMedical InsurancePayer PortalsPrior Authorization

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